头体针治疗脑血管病后痉挛性瘫痪的疗效评价与研究

Investigation and Evaluation of the Efficacy of Scalp and Body Acupuncture for Treating Spastic Paralysis after Cerebrovascular Diseases

目的研究头皮针、体针叠加疗法对中风偏瘫痉挛状态的疗效。方法在统一诊断标准以及入选标准的前提下,统一针刺方法,采用修改的Ashworth痉挛评定级、Brunnstrom分级,Barthel氏ADL指数分别评定痉挛程度、运动功能水平、日常生活能力,考察两种针法联合应用对中风后偏瘫患者痉挛状态的疗效。结果头针体针叠加针法对痉挛状态的改善,运动功能水平、日常生活能力优于单纯体针对照组(P<0.01)。结论头针体针叠加针法在改善痉挛状态方面有独特的优势,可提高患者的运动功能水平,日常生活能力。

Under the unified diagnosis and inclusion criteria, modified Ashworth spasm rating, Brunnstrom rating and Barthel＇ ADL index were used to evaluate the spastic degree, motor function and ability in daily life and to examine the result of assessing the curative effects of two acupuncture methods on spastic status in apoplectic hemiplegia patients. Results Combined scalp and body acupuncture was significantly better than simple body acupuncture in improving spastic status, motor function and ability in daily life （P 〈0.01 ）.